Smith, Roy A

Smith, Roy A is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Smith, Roy A can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3527
Phone: (315) 476-7921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 138636 New York

Profile Details

NPI number 1235129933
LBN Legal business name Smith, Roy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235129933 NPPES
New York MEDICAID 00831732

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